article thumbnail

EM@3AM: Total Hip Arthroplasty Complications

EMDocs

Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 8 Perform and document distal neurovascular exam. 5 CT if concern for occult fracture. Hospitals, 2018.

EMS 96
article thumbnail

Expedient Field Amputations

JEMS

Ralston survived this horrible ordeal and went on to document it in his book Between a Rock and a Hard Place. Although scalpels and Gigli saws are routinely employed in hospital operating rooms, a Gigli saw is an instrument that emergency medicine physicians may not have encountered in their training. Am J Emerg Med.

E-9-1-1 102
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

EMCrit Guest Post – In Defense of Dignity by Chris Hicks, MD

EMCrit Project

” From their perspective, they might be getting wheeled off to the operating room, to the waiting room, or to the morgue for all they understand. Most medical documentation is polluted with it, for want of using the persons actual name. A few simple words by way of update can make all the difference.

article thumbnail

Data Cafe Insights: 2023 ESO Trauma Index Overview

ESO

Blood Component Timing: It was documented that 76% of patients requiring PRBCs received them within four hours of arriving at the hospital. Surgical Repair of Hip Fractures: Demonstrating effective care prioritization, 94% of older adults with hip fractures were moved to the operating room within 24 hours.

article thumbnail

Cervical Spine Imaging in Kids – the PECARN rule

Don't Forget the Bubbles

Children in the validation cohort were admitted to the intensive care unit or operating room less frequently than those in the derivation cohort. A proportion of the patients who were initially missed using the CDR were found to actually have risk factors documented in EMS reports or the medical record.

CPR 122
article thumbnail

The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

REBEL EM

Epinephrine – 10ug/mL, 10mL syringe Phenylephrine – 100ug/mL, 10mL syringe Phenylephrine bolus doses from 100-200ug and epinephrine 10-20ug administered every 2-5 minutes pursuant to provider order Inclusion Criteria: Adults age >18 years old Received at least one bolus dose of phenylephrine or epinephrine pre-filled syringes Exclusion (..)

article thumbnail

Re-Engineering Flow in an Academic Emergency Department

ACEP Now

In 1901, UVA opened its first hospital with 25 beds and three operating rooms. They also developed standard work documents for each role. The University of Virginia (UVA) School of Medicine was founded in 1819 by Thomas Jefferson and is one of the oldest medical schools in the United States.